Organization
ALLIANCE FOR DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE LAURION GOODSPEED D.D.S. (OWNER)
(603) 332-7300
Entity
Organization
Contact information
Practice address
40 WINTER ST, SUITE 201, ROCHESTER, NH 03867-3153
(603) 332-7300
(603) 332-7331
Mailing address
40 WINTER ST, SUITE 201, ROCHESTER, NH 03867-3153
(603) 332-7300
(603) 332-7331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
03538
NH
1223G0001X
General Practice Dentistry
Primary
1946
NH
1223G0001X
General Practice Dentistry
3370
NH
1223G0001X
General Practice Dentistry
927
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30313822
—
NH
01
—
50Y141600NH01
BCBS GROUP NUMBER
NH
01
—
898915
UNITED CONCORDIA GROUP #
NH
Enumeration date
03/27/2007
Last updated
06/11/2010
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